decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Special Advisory Bulletins / OIG Special Advisory Bulletin 99-2_Sept 28, 1999 / Effect of Exclusion from Participation in Federal Health Care Programs
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Article Overview
This OIG Special Advisory Bulletin discusses the Office of Inspector General’s exclusion authority, related civil money penalties, and the compliance implications for individuals and entities that furnish items or services connected to federal health care programs. It is relevant to compliance officers, providers, billing organizations, and others evaluating relationships with excluded parties under federal health care program rules.
Why This Topic Matters
The bulletin helps organizations recognize the compliance and financial risks associated with exclusion and with billing or arranging services involving excluded parties in federal health care programs.
Article Sections
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Overview
Introduces the bulletin’s purpose and the general federal health care program context. It frames the scope of exclusion authority and related enforcement concerns.
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Expanded OIG Authority Under Recent Laws
Summarizes legislative developments that expanded the OIG’s exclusion and penalty authorities. The section situates the bulletin within broader federal program integrity enforcement.
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Guidance for Affected Parties
Describes the types of parties the bulletin is intended to inform, including excluded individuals and entities and those that may employ or contract with them. It addresses the general compliance audience and the payment prohibition framework.
What You Will Learn
- The scope of OIG exclusion authority in federal health care programs
- How recent federal laws affected exclusion and penalty enforcement
- Which parties the bulletin is intended to inform
- The general compliance implications of working with excluded parties
Who Should Read This
- Compliance officers
- Health care providers
- Billing and reimbursement staff
- Healthcare organizations
- Contracting and credentialing teams
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